Bruce Earl Brockstein in Evanston - Medical Oncology
Bruce Earl Brockstein - NPI 1740349695
Bruce Earl Brockstein is a Medical Oncology in Evanston, Illinois. Bruce Earl Brockstein practices all healthcare services and medical treatments related to Medical Oncology. The NPI Number for Bruce Earl Brockstein is 1740349695. The last update date is 2020-10-13.
Bruce Earl Brockstein's current location address is 2650 Ridge Ave, Evanston, Illinois. You can contact this provider via phone number 8475702112 and fax number 8475701041. The mailing address for Bruce Earl Brockstein is 2650 Ridge Ave, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Earl Brockstein |
|---|---|
| Address | 2650 Ridge Ave, Evanston, Illinois |
| Phone Number | 8475702112 |
| Fax Number | 8475701041 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1740349695 |
|---|---|
| Provider Enumeration Date | 2006-12-07 |
| Last Updated Date | 2020-10-13 |
Provider Mailing Address Detail
| Address | 2650 Ridge Ave |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602011718 |
| Phone Number | 8475702112 |
| Fax Number | 8475701041 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Oncology |
|---|---|
| Taxonomy | 207Rx0202X |
| Licence No | 36086058 |
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Definition: An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists |
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What is the unique 10-digit identifier code issued to Bruce Earl Brockstein by the Centers for Medicare & Medicaid Services?
The Bruce Earl Brockstein has been assigned the NPI (National Provider Identifier) 1740349695 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bruce Earl Brockstein's facilities are situated?
The facilities of Bruce Earl Brockstein are physically located at the following address: 2650 Ridge Ave, Evanston, IL, 602011718.
What is Bruce Earl Brockstein's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bruce Earl Brockstein is Medical Oncology, and the taxonomy code that classifies this field of practice is 207Rx0202X.
When did the Bruce Earl Brockstein receive its 1740349695?
The Bruce Earl Brockstein was issued its 1740349695 on 2006-12-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Bruce Earl Brockstein last refreshed?
The information related to the Bruce Earl Brockstein, including its address, specialty, and other relevant details, was last updated on 2020-10-13.